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Advanced Hospital Coding and CCS Prep (Voucher Included)

css-exam-prep
$1,895.00 (USD)

OVERVIEW

OBJECTIVE

When you've successfully completed this program, you'll:

  • Understand how health information travels within departments of a facility
  • Be able to define the roles and responsibilities of a coder in both inpatient and outpatient facilities
  • Assign ICD-10-CM/PCS and CPT/ HCPCS Level II codes and modifiers
  • Know how to interpret clinical documentation using your knowledge of medical terminology, anatomy/physiology, and disease processes
  • Select codes according to Uniform Hospital Discharge Data Sets (UHDDS) definitions and official coding guidelines
  • Evaluate the effect of code selection on Diagnosis Related Group (DRG) assignment, and verify DRG assignment based on Prospective Payment System (PPS) definitions
  • Indicate Medical Necessity by linking an appropriate diagnosis with the procedure or service provided.
  • Understand reimbursement methodologies
  • Describe documentation rules and regulations

 

Coding

  • Apply knowledge of ICD-10-CM conventions, guidelines, and instructional notations to locate, assign, and correctly sequence codes
  • Apply knowledge of ICD-10-PCS conventions and guidelines to locate, assign, and correctly sequence codes
  • Apply knowledge of CPT guidelines to locate, assign, and correctly sequence codes
  • Facilitate data retrieval by recognizing when more than one code is required to adequately classify a given condition

 

Data Identification

  • Read and interpret clinical documentation to identify codeable diagnoses and procedures
  • Apply your knowledge of anatomy and physiology, pathophysiology, pharmacology, and diagnostic and procedural terminology to assign accurate codes

 

Regulatory Guidelines

  • Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to select accurate codes
  • Determine the appropriate principal diagnosis for patients who have more than one ailment
  • Use the Prospective Payment System to confirm a DRG assignment
  • Prevent fraud by maintaining approved coding principles and guidelines, including the National Correct Coding Initiative (NCCI) 
  • Use the Ambulatory Surgery Center (ASC) Payment Groups to confirm ASC assignment and ensure appropriate reimbursement
  • Use the Healthcare Common Procedure Coding System (HCPCS) to appropriately assign HCPCS codes for outpatient Medicare reimbursement

 

Data Quality

  • Clarify conflicting, ambiguous, or missing information appearing in a health record by querying the appropriate physician
  • Participate in quality assessment to ensure continuous improvement in ICD-10-CM/PCS and CPT coding and collection of accurate health data
  • Demonstrate the ability to recognize and report coding-quality issues
  • Apply policies and procedures on clinical documentation and coding that are consistent with official coding guidelines
  • Contribute to the development of facility-specific coding policies and procedures
  • Understand internal and external audit findings

DETAILS

OUTLINE

REQUIREMENTS

PREREQUISITES

INSTRUCTOR

FAQS

REVIEWS

Excelsior Springs Area Career Center
Adult/Community Education
614 Tiger Drive
Excelsior Springs, MO 64024 US
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